Skilled nursing facility · CMS certification number 365381
WICKLIFFE COUNTRY PLACE
WICKLIFFE, Ohio · Medicare and Medicaid
Certified beds, as filed in Care Compare: 170
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,588,080 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,928,788 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,659,292 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,018,339 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,359,047 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $394,514 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$964,533 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$964,533 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 62,220 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,218 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,952 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 30,977 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 45,147 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 41 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 63 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 399 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 503 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 205.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 89.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437613, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 February 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,400,613 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,281,324 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,119,289 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,366,536 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,247,247 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $726,001 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$521,246 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$521,246 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,680 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 488 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 206.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403308, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,419,834 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,311,196 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,108,638 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,011,265 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,902,627 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,981,229 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$921,398 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$921,398 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,218 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 398 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 208.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395996, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 November 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,192,096 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,797,336 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,394,760 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,062,782 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,668,022 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $182,393 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,485,629 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,485,629 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,907 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 340 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 83.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367509, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,040,128 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,698,602 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,341,526 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,881,038 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$539,512 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,483,400 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,943,888 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,943,888 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,020 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 416 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 70.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341602, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,867,640 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,864,499 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,003,141 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,956,691 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $46,450 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $314,438 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $360,888 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $360,888 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,007 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 453 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 81.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1291022, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,537,383 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,498,028 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,039,355 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,247,985 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $791,370 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $297,681 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,089,051 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,089,051 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,447 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 445 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 89.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252343, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,193,597 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,161,710 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,031,887 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,575,933 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $455,954 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $213,708 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $669,662 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $669,662 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,612 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 459 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 89.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222995, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,016,336 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,199,115 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,817,221 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,130,551 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $686,670 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,282 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $710,952 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $710,952 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,998 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 477 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 106.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1177574, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 January 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,481,471 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,426,660 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,054,811 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,609,284 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $445,527 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,674 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $482,201 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $482,201 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,449 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 923 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 92.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151583, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 March 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,666,746 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,123,868 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,542,878 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,353,511 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $189,367 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $155,361 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $344,728 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $344,728 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,260 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 986 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 137.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121535, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 August 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,826,717 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,730,345 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,096,372 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,417,016 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$320,644 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $125,908 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$194,736 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$194,736 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,851 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 952 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107711, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 October 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,512,768 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,597,764 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,915,004 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,683,003 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $232,001 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,597 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $261,598 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $261,598 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,422 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 928 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 194.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 60.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1079520, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 May 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,595,345 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,950,279 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,645,066 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,019,389 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $625,677 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,233 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $650,910 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $650,910 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,767 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 889 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 273.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 64.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1031142, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,219,637 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,437,013 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $782,624 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,226 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $795,850 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,810 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 926 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 263.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 64.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433253, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 November 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,060,238 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,259,273 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $800,965 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,426 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $842,391 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,381 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,009 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 254.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 58.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 389917, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 26 March 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,813,948 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,230,195 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $583,753 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,794 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,492 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $587,055 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 188 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,855 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 683 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 193.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 92.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 366601, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 30 November 2007
Cost report for 1 January 2007 to 30 November 2007 — a reporting period of 333 days, on form CMS-2540-96, as submitted, processed by CMS on 28 May 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,733,809 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,123,728 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $610,081 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,053 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $660,134 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,179 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 703 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,088.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 81.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 310094, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 May 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $14,317,281 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,074,467 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,242,814 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $102,952 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,345,766 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,671 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,171 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.99 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 84.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 54.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 308900, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 February 2007.
None of these figures is carried on this report.
CMS report record 271755, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 10 May 2006.
None of these figures is carried on this report.
CMS report record 248918, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 April 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,602,792 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,254,016 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $348,776 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $86,266 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $435,042 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,795 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1,059 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 81.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 55.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 213178, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 May 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,698,997 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,089,466 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $609,531 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $268,794 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $878,325 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,949 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 997 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.95 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 99.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 59.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 174949, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 May 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,439,576 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,078,707 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $360,869 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $330,186 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $691,055 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 57,400 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 949 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 93.01 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 60.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 144976, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 28 February 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,211,892 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,456,108 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $755,784 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $108,596 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $864,380 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,191 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 895 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 124.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 68.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 45515, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 May 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,152,651 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,810,338 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $342,313 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $179,334 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $521,647 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,772 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 852 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 125.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 70.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 45513, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 June 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,206,342 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,573,656 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $632,686 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $259,709 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $892,395 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 58,008 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 806 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 124.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 71.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 45511, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 2 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,628,176 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,621,638 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,006,538 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $129,632 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,136,170 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,195 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 894 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 76.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 59.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 45509, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 September 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,957,816 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,258,624 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$300,808 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $144,011 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$156,797 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 189 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,547 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 703 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 51.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 43191, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| OH 10 HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 07/06/2022 |
| CC OH10 OPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| CHAVOS221 HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| CHAVOS221 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| LIONSVIEW OPCO NR LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| LIONSVIEW SC LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| LIVING26 HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| LIVING26 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| SAPPHIRE143 HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| SAPPHIRE143 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| SHARVIT, ELIAV | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/22/2007 |
| STUMP, BARRY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/22/2007 |
| STUMP, BARRY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/22/2007 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of 3G OPERATING COMPANY LLC (enrollment ID O20080207000096).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| OH 10 HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/6/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| CC OH10 OPCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 39.4 | 7/6/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHAVOS221 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40 | 7/6/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| CHAVOS221 IRRV TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 38 | 7/6/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| LIONSVIEW OPCO NR LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15.6 | 7/6/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| LIONSVIEW SC LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5 | 7/6/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| LIVING26 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 19.5 | 7/6/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| LIVING26 IRRV TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18 | 7/6/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| SAPPHIRE143 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 19.5 | 7/6/2022 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| SAPPHIRE143 IRRV TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18 | 7/6/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| BARRY STUMP | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/22/2007 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ELIAV SHARVIT | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/22/2007 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BARRY STUMP | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/22/2007 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: LIONSVIEW OPCO NR LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LIONSVIEW OPCO NR LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 January 2023: BRUCE DASKAL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: BRUCE DASKAL no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: BRUCE & MALKA DASKAL FAMILY 2008 DYNASTY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SHARON DASKAL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SHARON DASKAL no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: DMD MANAGEMENT INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: WCP LP LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: CHAVOS221 IRRV TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: LIONSVIEW SC LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: LIVING26 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SAPPHIRE143 IRRV TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: OH 10 HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: LIVING26 IRRV TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SAPPHIRE143 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: CC OH10 OPCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: CHAVOS221 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: LIONSVIEW OPCO NR LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- 1 July 2026: LIONSVIEW OPCO NR LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LIONSVIEW OPCO NR LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 6 February 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 26 September 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 7 November 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 2 February 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 1 January 2023: BRUCE DASKAL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: BRUCE DASKAL no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: BRUCE & MALKA DASKAL FAMILY 2008 DYNASTY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SHARON DASKAL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SHARON DASKAL no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: DMD MANAGEMENT INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: WCP LP LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: CHAVOS221 IRRV TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: LIONSVIEW SC LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: LIVING26 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SAPPHIRE143 IRRV TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: OH 10 HOLDCO LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: LIVING26 IRRV TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SAPPHIRE143 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: CC OH10 OPCO LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: CHAVOS221 HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: LIONSVIEW OPCO NR LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 29 July 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 12 March 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 18 April 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 26 October 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 19 January 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 31 March 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 13 August 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 29 October 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 31 May 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 26 October 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 22 November 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 26 March 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 28 May 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 14 May 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 5 February 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 10 May 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 26 September 2024 | 26 September 2024 | 14 | 6 |
| 2 | 29 September 2022 | 29 September 2022 | 14 | 8 |
| 3 | 26 September 2019 | 26 September 2019 | 5 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
33 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 17 November 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | 18 November 2025 |
| 17 November 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | 18 November 2025 |
| 17 November 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | 18 November 2025 |
| 30 January 2025 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Yes | Deficient, Provider has date of correction | 3 February 2025 |
| 26 September 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 11 October 2024 |
| 26 September 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 11 October 2024 |
| 26 September 2024 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | 11 October 2024 |
| 26 September 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 11 October 2024 |
| 26 September 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 11 October 2024 |
| 26 September 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | 11 October 2024 |
| 26 September 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | 11 October 2024 |
| 26 September 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 11 October 2024 |
| 26 September 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 11 October 2024 |
| 26 September 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | 11 October 2024 |
| 26 September 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 11 October 2024 |
| 28 March 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Yes | Deficient, Provider has date of correction | 8 April 2024 |
| 29 September 2022 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | 25 October 2022 |
| 29 September 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 25 October 2022 |
| 29 September 2022 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | 25 October 2022 |
| 29 September 2022 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | 25 October 2022 |
| 29 September 2022 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | 25 October 2022 |
| 29 September 2022 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 25 October 2022 |
| 29 September 2022 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 25 October 2022 |
| 29 September 2022 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 25 October 2022 |
| 29 September 2022 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | No | Deficient, Provider has date of correction | 25 October 2022 |
| 29 September 2022 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | No | Deficient, Provider has date of correction | 25 October 2022 |
| 29 September 2022 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | No | Deficient, Provider has date of correction | 25 October 2022 |
| 29 September 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 25 October 2022 |
| 29 September 2022 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | No | Deficient, Provider has date of correction | 25 October 2022 |
| 26 September 2019 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | 18 October 2019 |
| 26 September 2019 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | No | Deficient, Provider has date of correction | 18 October 2019 |
| 26 September 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 18 October 2019 |
| 26 September 2019 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 18 October 2019 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | 3G OPERATING COMPANY LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1978-07-13 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Lake |
| Telephone Number | 4409449400 |
| Chain Name | LEGACY HEALTH SERVICES |
| Chain ID | 305 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 170 |
| Average Number of Residents per Day | 124.3 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: LIONSVIEW OPCO NR LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
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The citable document for WICKLIFFE COUNTRY PLACE
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Ohio at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 365381.